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UMHS Home/Logo Consult Request Guidelines

for Abnormal LFTs

Abnormal LFTs (Hepatitic pattern, AST/ALT >5x upper limit of normal or increased bilirubin)
Suggested Pre-Referral Evaluation and Management Guidelines
1) Test for IgM anti-HAV, HBsAg, IgM anti-HBc, anti-HCV, ANA, Smooth Muscle Antibodies (SMA), SPEP
2) Test for PT/INR
3) Repeat LFT, PT in 1-2 weeks
Suggested Additional Test/Management Prior to Specialty Visit
1) Refer patient
2) Ask for early appointment if AST/ALT >10x upper limit of normal (ULN), bilirubin >2, or INR >1.2
Patient Education/Information (includes preps)
1) American Association for The Study of Liver Diseases
2) Centers for Disease Control & Prevention
3) National Institutes of Health
4) American Liver Foundation
5) Liver Function Panel
Appointment Timeframe 1-2 weeks, call M-LINE and ask to speak to one of the hepatology faculty if urgent appointment is needed
How to Get Results to Consultant UMHS Patients: See MiChart
External Patients: Hand carry non-UM records, MRI/CT films and biopsy slides to visit unless records sent at least 1 week before clinic visit
External patients referral form
Clinic Contact Information Physicians: 800-962-3555 or 800-395-6431
Patients: 800-395-6431
Clinic Location Sites Hepatology Clinic Locations
UM Consulting Physician Hepatology Faculty
Lisa Sylvest, RN -- UMHS Patient Liaison will answer provider questions.
Revised on: 01/06/2015